Hospice and palliative care in the UK 1994-5, including a summary of trends 1990-5

Eve, Ann; Smith, Anthony M.; Tebbit, Peter

doi:10.1177/026921639701100104

Cited by 65 publications

(50 citation statements)

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“…24,25,41 In addition, around 50% of patients admitted to inpatient hospices do not die on the first admission, but return home and come under a home care service. In the U.K., periods of receiving day care are considerably longer, the median length of care is 182 days, and although around 10% of patients are in day for less than one month, almost 30% are in care for one year or more.…”

Section: Transitions Between Curative Palliative and End-of-life Care?mentioning

confidence: 99%

End-of-Life Care: Lessons from Other Nations

Higginson

2005

Journal of Palliative Medicine

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Palliative care and hospice services have evolved across the globe in different contexts and in different ways, although many of the challenges faced are similar. Comparison between countries helps to identify the best solutions for individual patients and their families, who have complex needs and problems. This paper describes the globally shared challenges and beginnings in hospice and palliative care. It reviews evolution of services and approaches. It compares the models of hospice and palliative care in the United States and the United Kingdom, where pioneer hospices were developed through the work of Dame Cicely Saunders, and then seeks to highlight ways to learn from the different approaches to address common questions. Several research recommendations result from this review. In many countries the research agenda in palliative and end-of-life care must move from describing need (where there are ample studies) to understanding how and determining whether services and interventions work, for whom, and when. Studies should consider the whole trajectory of illness, particularly in slowly progressive or relapsing conditions (including neurological conditions). Future studies should work toward the use of a similar set of core outcome measures, as well as take advantage of the opportunity to undertake "natural experiments" by comparing and contrasting care systems developed in different contexts around the world.

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Section: Transitions Between Curative Palliative and End-of-life Care?mentioning

confidence: 99%

End-of-Life Care: Lessons from Other Nations

Higginson

2005

Journal of Palliative Medicine

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“…A gap in the provision of care could then arise, with the families unsure as to where to find suitable help. Neither of the two surveys by Eve et al [3,19] gives any indication as to how many young adults are cared for by adult hospices. It is clear that for many conditions, adult hospices would not be able to provide the care needed even if a referral was made.…”

Section: Discussionmentioning

confidence: 98%

“…On average, children's hospices are smaller than adult hospices. A survey conducted by Eve et al [19] showed most adult hospice to have ten beds although the range was between 2-62 beds.…”

Section: Discussionmentioning

confidence: 99%

A survey of the services provided by children’s hospices in the United Kingdom

Mash

Lloyd‐Williams

2006

Support Care Cancer

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“…1 Yet, patients suffering from noncancer advanced illness are generally referred for palliative medical management late in their disease trajectory or not at all. [2][3][4][5] A leading cause of this phenomenon is the difficulty associated with prognostication. When relying solely on clinical experience and intuition, physicians demonstrate poor prognostic accuracy with a tendency to overestimate survival by a factor of 5.3.…”

Section: Introductionmentioning

confidence: 99%